Individual
MARTHA J BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN LCSW
Contact information
Practice address
16019 VIA SHAVANO, SHAVANO COMMONS, SAN ANTONIO, TX 78249
(210) 393-4598
(210) 690-8815
Mailing address
16019 VIA SHAVANO, SHAVANO COMMONS, SAN ANTONIO, TX 78249
(210) 393-4598
(210) 690-8815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20688
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
218483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119764203
—
TX
Enumeration date
09/07/2006
Last updated
09/10/2009
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